OET Letter Writing – Step 4 Organizing

Including what is relevant in a case notes is most crucial in writing a letter because each case notes comes with a lot of irrelevant information. You score high based on this skill. Look at the case notes below and say if the following pieces of information are relevant or irrelevant:




Read the case notes below and complete the writing task which follows.


You are a registered nurse in the Cardiology Unit at St Luke’s hospital, Adelaide. Ms. Kylie Weiss is a patient in your care.

Today’s date: 09/07/2017

Name: Ms. Kylie Weiss
D.O.B.: 21/05/1952

Address: 8758, Pulteney Street, Adelaide, SA, 5000

Date of admission: 07/07/2017

Presenting Complaint:

BIBA (Brought in by ambulance)
2-hour history of intermittent discomfort jaw;
Heaviness in both forearms; constant discomfort.

IV access in ambulance, 10 mg IV Morphine on route, Aspirin 300 mg chewed, Glytrin spray x 3 ECG showing ST elevation.

Diagnosis: Myocardial Infarction

Medical History:

  • Weight: 85 kilograms, Height: 170 cm – Overweight (BMI-29)
  • Ex-smoker – (stopped 1994)
  • Mild osteoarthritis
  • Mild asthma – no exacerbations within last 5 years
  • Dyslipidemia (not treated)
  • Medications: NIL
  • Occupation: Works as taxi driver, mixed shifts
  • Dietary Habits: Eats fast food- fries, hamburgers, doughnuts, ice cream, non-drinker.

Family History:

  • Brother – Coronary artery bypass grafting (CABG) at 70 years
  • Sister MI (Myocardial Infarction) at 60 years, Mother-angina

Social History:

  • Marital status: Married, with one daughter
  • Husband – Peter Weiss, 67 years, retired, aged pensioner


  • Emergency Angioplasty
  • ST Segment elevation on ECG –
  • Direct stenting to proximal LAD
  • Echocardiogram – Ejection fraction 35%
  • Pain/Discomfort – managed
  • Fasting Bloods (Lipids, Diabetes, TnI (proteins troponin), CBC (complete blood count) Cholesterol levels) checked.
  • Nil further pain / discomfort,
  • Cardiac status stable
  • Seemed confused re. diagnosis,
  • Reality of near-death experience
  • Educated re event, MI diagnosis and modifications to risk factors (Cholesterol, wt. loss)
  • R/v by Physiotherapist – cardiac exercise program provided
  • R/v by dietician – diet for weight loss & reduced cholesterol levels
  • Concerned about being unable to manage home on her husband’s pension – S/W input required

09/07/2017 Preparing for discharge

Discharge medications:

  • Atorvastatin 40 mg OD, Metoprolol 23.75 mg OD
  • Cilazapril 0.5 mg OD, Aspirin 100 mg OD, Ticagrelor 90 mg BD
  • Glytrin spray prn for chest pain

Discharge plan:

  • Refer to Cardiac Rehabilitation Nurse Specialist…
  • Compliance with risk factor management (wt. loss, low cholesterol diet), medications, re-education re MI and its management.
  • No driving for 6 weeks.


Using the information given in the case notes, write a referral letter to Ms. Nina Gill, Cardiac Rehabilitation Nurse Specialist, Cardiac Rehabilitation Clinic, 41, Jones St, Adelaide outlining important information.

In your answer:

  • Expand the relevant case notes
  • into complete sentences.
  • Do not use note form.
  • Use correct letter format.

The body of the letter should be approximately 200 words.

Get Ready!

Written by Biju John

Love for English begins with understanding its unknown rules. Biju John lives on the internet, teaching OET, IELTS and PTE. More than a million students have thanked him from their heart.

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OET Letter Writing – Step 2 Removing Irrelevant Information

OET Letter Writing – Step 5 Notes Conversion